LA PINE COMMUNITY HEALTH CENTER (NPI# 1598119075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598119075 |
| Entity Type | Organization |
| Organization Name | LA PINE COMMUNITY HEALTH CENTER |
| Practice Address |
51340 Highway 97 La Pine OR 97739-9871 |
| Mailing Address |
Po Box 3300 La Pine OR 97739-3300 |
| Practice Telephone | 5415363435 |
| Mailing Telephone | 5415363435 |
| Mailing Fax Number | 5415361040 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | CHARLA DEHATE (CEO) |
| Authorized Official Telephone | 5415363435 |
| Is Organization Subpart | Y |
| Parent Organization Name | LA PINE COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669889341 | La Pine Community Health Center | Clinic/Center | 350 Mississippi Dr, Gilchrist, OR 97737-3243 | 2014-07-15 |
| 1063825776 | La Pine Community Health Center | Clinic/Center | 51605 Coach Road, La Pine, OR 97739-7556 | 2014-06-10 |
| 1639316193 | La Pine Community Health Center | Clinic/Center | 51600 Huntington Road, Suite C, La Pine, OR 97739-0001 | 2009-01-20 |
| 1821472366 | La Pine Community Health Center | Clinic/Center | 87520 Bay Road, Christmas Valley, OR 97641 | 2015-07-15 |
| 1174919674 | La Pine Community Health Center | Clinic/Center | 56881 Enterprise Dr, Sunriver, OR 97707-2120 | 2015-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LA PINE COMMUNITY HEALTH CENTER | 51600 Huntington Rd, La Pine, OR 97739 |
| Street Address |
51340 HIGHWAY 97 |
| City | LA PINE |
| State | OR |
| Zip Code | 97739-9871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710324264 | Daniel Patterson Williams | Counselor | 51340 Highway 97, La Pine, OR 97739-9871 | 2013-05-23 |
| 1487254751 | Julianna Meares | Case Manager/Care Coordinator | 51340 Highway 97, La Pine, OR 97739-9871 | 2020-10-27 |
| 1821503996 | Stephane W Niquet | Peer Specialist | 51340 Highway 97, La Pine, OR 97739-9871 | 2017-12-11 |
| 1003326109 | Kimberly M Richards | Counselor | 51340 Highway 97, La Pine, OR 97739-9871 | 2017-10-03 |
| 1033644307 | Karissa L Viebeck | Social Worker | 51340 Highway 97, La Pine, OR 97739-9871 | 2017-04-25 |
| 1790131621 | Sally Lemos | Counselor | 51340 Highway 97, La Pine, OR 97739-9871 | 2016-05-10 |
| 1699140632 | Karaleen Lukash | Counselor | 51340 Highway 97, La Pine, OR 97739-9871 | 2015-12-02 |
| 1447629134 | Juliet Seeley Gutierrez | Counselor | 51340 Highway 97, La Pine, OR 97739-9871 | 2015-09-23 |
| 1295149516 | Hayley Roark | Counselor | 51340 Highway 97, La Pine, OR 97739-9871 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910897 | Hannah Noble | Occupational Therapist | 51340 Highway 97 # Or97739, La Pine, OR 97739 | 2015-04-21 |
| 1093145484 | Holly Lassen | Counselor | 51530 Huntington Rd Ste 5, La Pine, OR 97739 | 2013-11-20 |
| 1487899183 | Jennifer Ann Slater | Specialist | 16639 Box Way, Suite A, La Pine, OR 97739 | 2008-12-09 |
| 1003082652 | Jonathan Yang | Dentist | 16475 Bluewood Pl, Lapine, OR 97739 | 2008-05-05 |
| 1104943521 | Total Vision, Inc. | Technician/Technologist | 16487 Bluewood Place, Suite 2, La Pine, OR 97739 | 2007-03-22 |
| 1831243286 | Ronald Otto Nowack | Chiropractor | 16410 3rd St, Ste A, La Pine, OR 97739 | 2007-01-23 |
| 1477613313 | David Kimlin Dunscombe | Dentist | 16440 3rd Street, La Pine, OR 97739 | 2006-12-11 |
| 1740349430 | Joannie J Miller | Nurse Practitioner | 51375 S Huntington Rd, La Pine, OR 97739 | 2006-12-08 |
| 1285677575 | Brice Tyler Stanley | Physician Assistant | 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | 2006-06-14 |
| 1922072909 | High Desert Therapy Associates Inc | Hospice Care, Community Based | 51681 Huntington Road, La Pine, OR 97739 | 2006-02-15 |
| Find all providers in zip 97739 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063825776 | La Pine Community Health Center | Clinic/Center | 51605 Coach Road, La Pine, OR 97739-7556 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LA PINE COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.